Individual
EMMANUEL PIERROT BASSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 N. EAST AVENUE, JACKSON, MI 49201
(517) 205-7147
Mailing address
1215 LEE ST BOX 800133, CHARLOTTESVILLE, VA 22908-0816
(434) 924-1984
(434) 244-4502
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116040561
VA
Other
Enumeration date
05/10/2022
Last updated
06/14/2025
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